Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 19897 | NE |
NPI | 1043378623 |
---|---|
Provider Name | Victoria Melanie Maclin |
First Address | Omaha, NE 68138-6804 |
Second Address | Omaha, NE 68138-6804 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/12/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C46098 | (02) | NE |